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34694-Z
FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-34690 ~te: 11/09/10 THIS u~KTIFIBS that the building ADDITION/ALTERATIONS Location of Property: 1350 EUGENES RD CUTCHOGUE (HOUSE NO.) (STREET) (HAMLET) County T~I~ap No. 473889 Section 97 Block 6 Lot 1.2 Sulx~ivision Filed Map NO. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated MAY 5, 2009 pursuant to which Building ~z~t No. 34694-Z dated MAY 20, 2009 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is GARAGE /LND DECK ADDITIONS AND ALTERATIONS TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to THOMAS B PULS II & DONNA RICCO (OWNER) of the aforesaid building. S~)I=KCOI~TTYDBPAR~TOF}~ALTHAPPRO%5%L N/A ~.R,J£KICAL C~RTIFI~THNO. 4669-H 10/01/10 PLU[~EP~ C~I~TIFICATION DA-r~L, N/A /horiz~ Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) ( PERMIT NO. ~ 34694 Z Date MAY 20, 2009 Permission is hereby granted to: THOMAS B PULS II & DONNA RICCO 100 UNITED NATIONS PLZ APT23E /~ NEW YORK,NY 10017 for : GAR3tGE ADDTN & INT/EXT ALTER3tTIONS, EXISTING REAR DECK REDUCTION/ REPAIR PER APPROVED PLANS & TRUSTEES, NYSDEC. FLOOD PERMIT at premises located at County Tax Map No. 473889 Section 097 pursuant to application dated MAY Building Inspector to expire on NOVEMBER 1350 EUGENES RD CUTCHOGUE Block 0006 Lot No. 001.002 5, 2009 and approved by the 20, 2010. Fee $ 1,168.00 Authorized Signature ORIGINAL Rev. 5/8/02 Form No. 6 TOWN OF SOUTHOLD BUILDENG DEPARTMENT TOWN HALL 765-1502 APPLICATION FOR CERTIFICATE OF OCCUPAI This application must be filled in by typewriter or ink and submitted to the Building De A. For new building or new use: ~ 1. Final survey of property with accurate location of all buildings, property lines, topographic features. 8LOG, DEPI. k~lh 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). ,,'3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead. · ,' 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from amhitect or engineer responsible for the building. ,.' 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic features. 2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is denied, the Building Inspector shall state the reasons therefor in writing to the applicant. C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00, Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00. 2. Certificate of Occupancy on Pre-existing Building- $100.00 3. Copy of Certificate of Occupancy - $.25 4. Updated Certificate of Occupancy - $50.00 5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00 Date. New Construction: ~ Old or Pre-existing Building: (check one) Location of Property: [ ~G(~) ~ ~)C~ ~}.,.) ~.~ ~)~ House No. Street Hamlet OwnerorOwnersofProperty: "'~)~4~% [DL)L.S ~ ~ DDg3I,,J~ ~\ CCID Suffolk County Tax Map No 1000, Section C~~] Block ~-' Lot Subdivision Permit No. ~' ' bq4 Health Dept. Approval: Filed Map. Lot: Date of Permit. Applicant: Underwritem Approval: v/' Planning Board Approval: Request for: Temporary Certificate Fee Submitted: $ c TS; s5,5 Final Certificate: (check one) ~pp~nature Nassau Suffolk Electrical Inspections,Inc. P.O. Box 549, Aquebogue, New York + 11931 Tel: 631=591=3097 Fax: 631=~91=3098 Application: 4669-H Date: 10/1/10 Issued to: Puls Address: 1350 Eugenes Rd Introduced By: Village: Cutehogue Lieense~: N/A H/O Residential [] Commercial [] The following was examined and approved up to the above data and found to be In compliance with the NEC: Limited In~. ~ ~ 10/1/10 Garnge Extension: 1 -Sw,4-Rec, 1 -GFCI, 1 -Garage Door Opener Kitchen Alterations: 1 -Sw, 19-Fixtures, 1 -GFCI, 1 -Dishwnsher, I -Range This certificate must not be altered in any manner TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [~)~FOUNDATION 1ST [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] fiRE RESISTANT PENETRATION [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ]FIRE RESISTANT CONSTRUCTION REMARKS: TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ] FOUNDATION 2ND [ ] FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ]INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] RRE RESISTANT COI~I~UCTION [ ] FIRE RESISTANT PENL=',I~RATION REMARKS: DATE ~'"- ? "" TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION RNAL E SAFETY INSPECTION [ ]F~RERESb'T~T~ [ ]F~qERES~ST4NT~.NETRA'fl0N REMARKS: DATE INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ] FOUNDATION 1ST [ ]ROUGH PLBG. [ ]FOUNDATION 2ND [ ]INSULATION ~ ~/STRAPPING ~,~[ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] RRE RESISTANT PENETRATION REMARKS: DATE ~- ~'~ J~ ~ INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ]FOUNDATION 2ND [ ]FRAMING / STRAPPING [ ]FIREPLACE & CHIMNEY [ ] ROUGH PLBG. [ ] INSULATION [ ] FINAL [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT C0#STRUC'rl0N [ ] RRE IIESlSTANT IT:NETRATION REMARK,S: DATE ~"- ~-~ ~' / 0 iNSPECTOR ~, ~ TOWN OF SOUTHOLD BUILDING DEPT. 765-1802 INSPECTION [ ]FOUNDATION 1ST [ ] ROUGH PLBG. [ ]FOUNDATION 2ND [ ] INSULATION [ ]FRAMING / STRAPPING ~/~FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSFECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT FENETRATION REMARKS: / ~r~.]~ INSPECTION REPORT FOUNDATION (2ND) / PL~G STATE E~RGY CODE~~, ~DITION~ CO~ENTS TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, NY 11971 TEL: (631) 765-1802 FAX: (631) 765-9502 SoutholdTown.NorthFork.net Examined ~ ,20 _ Approved C/z ('' ,20 Disapproved a/c Expiration BtDG. DEPT. TOWN OF SOUTHOL9 G PERMIT APPLICATION CHECKLIST you have or need the following, before applying? Board of Health --4 sets of Building Plans Planning Board approval PERMIT NO. Check Septic Form ~Tmstees Flood Pemit Sto~-Water Assessment Fo~ ~ ~ ~ ~ ~ ~ ~ ~lContac,: , I ~ ~Wn O~SO~HOLo ,- ~ APPLICATION FOR BUILDING PERMIT INSTRUCTIONS ~.~ ,20 O9 a. This application MUST be completely filled in by typewriter or in ink and submitted to the Building Inspector with 4 sets of plans, accurate plot plan to scale. Fee according to schedule. b. Plot plan showing location of lot and of buildings on premises, relationship to adjdining premises or public streets or ~eas, and waterways. · c. The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application, the Building Inspector will issue a Building Permit to the applicant. Such a permit shal! be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose what so ever until the Building Inspector issues a Certificate of Occupancy. f. Every building permit shall expire if the work authorized has not commenced within 12 months after the date of issuance or has not been completed within 18 months from such date. If no zoning amendments or other regulations affecting the property have been enacted in the interim, the Building Inspector may authorize, in writing, the extension of the permit for an addition six months. Thereafter, a new permit shall be required. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws, Ordinances or Regulations, for the construction of buildings, additions, or alterations or for removal or demolition as herein described. The applicant agrees to comply with all applicable laws, ordinances, building code, housing code, and regulations, and to admit authorized inspectors on premises and in building for necessary inspections.(-'-> (Signature of applican//or name, if a corporation) (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber or builder Name of owner of premises (As on the tax roll or latest deed) If aplSl~ant is~t cowora, tio. n,,,~ignature of dualy aut,.horized officer )d ! ~(Name an~ title/o~orporate officer) Builders License No. [ ~'-{ 5 2- -- N Plumbers License No. Electricians License No. Other Trade's License No. Location of land on which proposed work will be done: House Number 0 Street /9,. County Tax Map No. 1000 Section_ ../~/ Block Subdivision Filed Map No. Hamlet Lot 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a. Existing use and occupancy b. Intended use and occupancy 3. Nature of work (check which applicable): New Building. Addition J Alteration Repair Removal Demolition Other Work Estimated Cost ~ ~//(9(9~ ~o If dwelling, number of dwelling units If garage, number of cars Fee (Description) (To be paid on filing this application) Number of dwelling units on each floor 7. Dimensions of existing structures, if any: ram._ ... Rear Height_ Number of Stories If business, commercial or mixed occupancy, specify nature and extent of each type of use. Dimensions of same structure with alterations or additions: Front Depth. Height Dimensions of entire new const~ction: Front Rear Height Number. of Stories Depth Rear Number of Stories ' Size of lot: Front Rear .Depth 10. Date of Purchase Name of Former Owner 11. Zone or use district in which premises are situated 12. Does proposed construction violate any zoning law, ordinance or regulation? YES__ NO __ 13. Will lot be re-graded? YES NO Will excess fill be removed from premises? YES__ NO __ 14. Names of Owner of premises Name of Architect Name of Contractor Address Phone No. Address Phone No Address Phone No. 15 a. Is this property within 100 feet of a tidal wetland or a freshwater wetland? *YES __ NO * IF YES, SOUTHOLD TOWN TRUSTEES & D.E.C. PERMITS MAY BE REQUIRED. b. Is this property within 300 feet of a tidal wetland? * YES NO * IF YES, D.E.C. PERMITS MAY BE REQUIRED. 16. Provide survey, to scale, with accurate foundation plan and distances to property lines. 17. If elevation at any point on property is at 10 feet or below, must provide topographical data on survey. 18. Are there any covenants and restrictions with respect to this property? * YES · IF YES, PROVIDE A COPY. NO STATE OF I~W ~RK) COUNT'O'[~/JUl ) ~f2~ being duly sworn, deposes and says that (s)he is the applic~t (N ' ' ' si~' g ~ t) above named, (S)He is the ~ ~ ~~ (Contractor,~ent, Co¢orate Officer, etc.) of said owner or owners, and is duly authorized to perform or have performed the said work and to make and file this application; that ali statements contained in this application are true to the best of his knowledge and belief; and that the work will be perfbrmed in the manner set forth in the application filed therewith. Swo.~o before me this Notary Public 20 ~Q u [ ......... 90696 ^ Q aified nSuffokCounty,-7 ~mm ss on Expires July 28, 20 'g ature o~ant James F. King, President Jill M. Doherty, Vice-President Peggy A. Dickerson Dave Bergen Bob Ghosio, Jr. Town Hall Annex 54375Main Road P.O. Box 1179 Southold, New York 11971-0959 Telephone(631) 765-1892 Fax(631) 765-6641 BOARD OF TOWN TRUSTEES TOWN OF SOUTHOLD Permit No.: 7034A Date of Receipt of Application: February 17, 2009 Applicant: Thomas Puls SCTM#: 97-6-1.2 Project Location: 135 Eugene's Rd., Cutchogue Date of Resolution/Issuance: February 18, 2009 Date of Expiration: February 18, 2011 Reviewed by: Trustee Dave Bergen Project Description: To construct a 17.2'X 22.2' extension to the existing garage. Findings: The project meets all the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code. The issuance of an Administrative Permit allows for the proposed extension to the garage as indicated on the survey prepared by Nathan Taft Corwin III last dated February 8, 2009. Inspections: Final inspection. If the proposed activities do not meet the requirements for issuance of an Administrative Permit set forth in Chapter 275 of the Southold Town Code, a Wetland Permit will be required. This is not a determination from any other agency. Board of Trustees 09/20/2010 11:45 FA~ 631 765 4643 MOORE I~W OFFICES ~002 Jill Ill. Doherty, President Jam~ F. King, ~i~-l~r~i~nt Bob G~o, Jr. John B~em~r Town Hall Annek I~75 Main Road P.O. B~z 1179 Southoid, New York 119TI-0959 Telephone (631 ) 765-1892 Fax (631) 76~-6641 BOARD OF TOWN TRUers:ES TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE # 0575C Date: THIS CERTIFIES that the ~.:a~n to the existina osraoe and n~ ~m ~v~v At 1350 E~mc's R~: Cu~ho~. N~ Yo~ Suffo~ Coun~ Tax Map ~ ~1.2 Coafo~ to ~e appflca~ns for a T~m Petit heretofore ~ in ~ o~e Da~ ~17/~ p~snamt ~ whi~ Trust.s Adm~s~five Pe~t 0 7034A Da~ ~18~ was issu~ ~ ~nfor~ to ~ of~e r~u~men~ sad t~n~m of~e applicable provisions of law. The project for which this certificate is being issued is for the e~.L~nsion to thc ~xistiz~ p. ara~ and new ~l'vious dr/vewav The certificate is issued to THOMAS PULS I1 & DONNA RICCO~wmer of the ~ agoresaid property. · NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION ' · Facility DEC ID 1-4738-00923 PERMIT Under the Environmental Conservation Law (ECL) Permittee and Facility Information Permit Issued To: THOMAS PULS & DONNA RICCO 1350 EUGENES RD CUTCHOGUE, NY 11935-2101 Facility: PULS PROPERTY 1350 EUGENES RD CUTCHOGUE, NY 11935 Facility Application Contact: MICHAEL HUGHES 1504 ST RTE 112 PORT JEFFERSON STATION, NY 11776 Facility Location: in SOUTHOLD in SUFFOLK COUNTY Village: Cutchogue Facility Principal Reference Point: NYTM-E: 712.5 NYTM-N: 4544.2 Latitude: 41°01'16.7" Longitude: 72°28'21.3'' Project Location: 1350 Eugenes Road Watercourse - Eugenes Creek Authorized Activity: Expand one car garage into two car by addition of 22.2' x 17.2' extension. Construct new retaining wall and steps. Expand existing driveway. Remove existing wall and reconstruct patio decks. All work must be in accordance with the attached plans prepared by Nathan T. Corwin III on 4/6/07 last revised 1/9/09 and stamped NYSDEC approved on 4/2/09. (MEP) Permit Authorizations Tidal Wetlands - Under Article 25 Permit ID 1-4738-00923/00003 New Permit Effective Date: 4/21/2009 Expiration Date: 4/20/2014 NYSDEC Approval By acceptance of this permit, the permittee agrees that the permit is contingent upon strict compliance with the ECL, all applicable regulations, and all conditions included as part of this permit. Permit Administrator: SUSAN ACKERMAN, Deputy Regional Permit Administrator Address: NYSDEC REGION 1 HEADQUARTERS Authorized Signature: ?~,~ / Date Page 1 of 5 ' NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facili/y DEC ID 1-4738-00923 Distribution List MICHAEL HUGHES Marine Habitat Protection MARILYN E PETERSON Permit Components NATURAL RESOURCE PERMIT CONDITIONS GENERAL CONDITIONS, APPLY TO ALL AUTHORIZED PERMITS NOTiFICATION OF OTHER PERMITTEE OBLIGATIONS NATURAL RESOURCE PERMIT CONDITIONS - Apply to the Following Permits: TIDAL WETLANDS 1. State Not Liable for Damage The State of New York shall in no case be liable for any damage or injury to the structure or work herein authorized which may be caused by or result from future operations undertaken by the State for the conservation or improvement of navigation, or for other purposes, and no claim or fight to compensation shall accrue from any such damage. 2. Notice of Commencement At least 48 hours prior to commencement of the project, the permittee and contractor shall sign and return the top portion of the enclosed notification form certifying that they are fully aware of and understand all terms and conditions of this permit. Within 30 days of completion of project, the bottom portion of the form must also be signed and returned, along with photographs of the completed work. 3. No Disturbance to Vegetated Tidal Wetlands There shall be no disturbance to vegetated tidal wetlands or protected buffer areas as a result of the permitted activities. 4. Storage of Equipment, Materials The storage of construction equipment and materials shall be confined within the project work area and/or upland areas greater than 75 linear feet from the tidal wetland boundary. 5. No Construction Debris in Wetland or Adjacent Area Any debris or excess material from construction of this project shall be completely removed from the adjacent area (upland) and removed to an approved upland area for disposal. No debris is permitted in wetlands and/or protected buffer areas. 6. Area of Disturbance for Structures Disturbance to the natural vegetation or topography greater than 25 feet seaward of the approved structure is prohibited. Page 2 of 5 · NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facility DEC ID 1-4738-00923 7. Straw Bales or Other at Tidal Wetland A row of staked straw bales or approvable erosion control devices shall be placed at the landward edge of the buffer area or 40 linear feet from the tidal wetland boundary, or as per the NYSDEC-approved plan, prior to commencement of any regulated activities and remain in place and in good, functional condition until the project is completed and all disturbed areas are stabilized with vegetation. 8. Driveway/Parking Area of Pervious Material Driveway and parking areas shall be constructed of NYSDEC-approved pervious materials. 9. Direct RunoffAway from Tidal Wetland and Buffer Roads, driveways, and parking areas shall be graded to direct runoff away from tidal wetlands and protected buffer areas. 10. Conformance With Plans All activities authorized by this permit must be in strict conformance with the approved plans submitted by the applicant or applicant's agent as part of the permit application. Such approved plans were prepared by Nathan T. Corwin III on 4/6/07 last revised 1/9/09. 11. State May Order Removal or Alteration of Work If future operations by the State of New York require an alteration in the position of the structure or work herein authorized, or if, in the opinion of the Department of Environmental Conservation it shall cause unreasonable obstruction to the f~ee navigation of said waters or flood flows or endanger the health, safety or welfare of the people of the State, or cause loss or destruction of the natural resources of the State, the owner maybe ordered by the Department to remove or alter the structural work, obstructions, or hazards caused thereby without expense to the State, and if, upon the expiration or revocation of this permit, the structure, fill, excavation, or other modification of the watercourse hereby authorized shall not be completed, the owners, shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore to its former condition the navigable and flood capacity of the watercourse. No claim shall be made against the State of New York on account of any such removal or alteration. 12. Precautions Against Contamination of Waters All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids, sediments, fuels, solvents, lubricants, epoxy coatings, paints, concrete, leachate or any other environmentally deleterious materials associated with the project. 13. State May Require Site Restoration If upon the expiration or revocation of this permit, the project hereby authorized has not been completed, the applicant shall, without expense to the State, and to such extent and in such time and manner as the Department of Environmental Conservation may require, remove all or any portion of the uncompleted structure or fill and restore the site to its former condition. No claim shall be made against the State of New York on account of any such removal or alteration. Page 3 of 5 · NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION · : Facility DEC lI) 1-4738-00923 GENERAL CONDITIONS - Apply to ALL Authorized Permits: 1. Facility Inspection by The Department The permitted site or facility, including relevant records, is subject to inspection at reasonable hours and intervals by an authorized representative of the Department of Environmental Conservation (the Department) to determine whether the permittee is complying with this permit and the ECL. Such representative may order the work suspended pursuant to ECL 71- 0301 and SAPA 401(3). The permittee shall provide a person to accompany the Department's representative during an inspection to the permit area when requested by the Department. A copy of this pennit, including all referenced maps, drawings and special conditions, must be available for inspection by the Department at all times at the project site or facility. Failure to produce a copy of the permit upon request by a Department representative is a violation of this permit. 2. Relationship of this Permit to Other Department Orders and Determinations Unless expressly provided for by the Department, issuance of this permit does not modify, supersede or rescind any order or determination previously issued by the Department or any of the terms, conditions or requirements contained in such order or determination. 3. Applications For Permit Renewals, Modifications or Transfers The permittee must submit a separate written application to the Department for permit renewal, modification or transfer of this permit. Such application must include any forms or supplemental information the Department requires. Any renewal, modification or transfer granted by the Department must be in writing. Submission of applications for permit renewal, modification or transfer are to be submitted to: Regional Permit Administrator NYSDEC REGION 1 HEADQUARTERS SUNY ~ STONY BROOKI50 CIRCLE RD STONY BROOK, NY11790 -3409 4. Submission of Renewal Application The permittee must submit a renewal application at least 30 days before permit expiration for the following permit authorizations: Tidal Wetlands. 5. Permit Modifications, Suspensions and Revocations by the Department The Department reserves the right to modify, suspend or revoke this permit. The grounds for modification, suspension or revocation include: a. materially false or inaccurate statements in the permit application or supporting papers; b. failure by the permittee to comply with any terms or conditions of the permit; c. exceeding the scope of the project as described in the permit application; d. newly discovered material information or a material change in environmental conditions, relevant technology or applicable law or regulations since the issuance of the existing permit; Page 4 of 5 · NEW YORK STATE DEPARTMENT OF ENVIRONMENTAL CONSERVATION Facilify DEC ID 1-4738-00923 noncompliance with previously issued permit conditions, orders of the commissioner, any provisions of the Environmental Conservation Law or regulations of the Department related to the permitted activity. 6. Permit Transfer Permits are transferrable unless specifically prohibited by statute, regulation or another permit condition. Applications for permit transfer should be submitted prior to actual transfer of ownership. NOTIFICATION OF OTHER PERMITTEE OBLIGATIONS Item A: Permittee Accepts Legal Responsibility and Agrees to Indenmffication The permittee, excepting state or federal agencies, expressly agrees to indemnify and hold harmless the Department of Environmental Conservation of the State of New York, its representatives, employees, and agents ("DEC") for all claims, suits, actions, and damages, to the extent attributable to the pcrmittee's acts or omissions in connection with the permittce's nndertaking of activities in connection with, or operation and maintenance of, the facility or facilities authorized by the permit whether in compliance or not in compliance with the terrns and conditions of the permit. This indemnification does not extend to any claims, suits, actions, or damages to the extent attributable to DEC's own negligent or intentional acts or omissions, or to any claims, suits, or actions naming the DEC and arising under Article 78 of the New York Civil Practice Laws and Rules or any citizen suit or civil rights provision under federal or state laws. Item B: Permittee's Contractors to Comply with Permit The permittee is responsible for informing its independent contractors, employees, agents and assigns of their responsibility to comply with this permit, including all special conditions while acting as the permittee's agent with respect to the permitted activities, and such persons shall be subject to the same sanctions for violations of the Environmental Conservation Law as those prescribed for the permittee. Item C: Permittee Responsible for Obtaining Other Required Permits The permittee is responsible for obtaining any other permits, approvals, lands, easements and rights-of- way that may be required to carry out the activities that are authorized by this permit. Item D: No Right to Trespass or Interfere with Riparian Rights This permit does not convey to the permittee any right to trespass upon the lands or interfere with the riparian rights of others in order to perform the permitted work nor does it authorize the impairment of any rights, title, or interest in real or personal property held or vested in a person not a party to the permit. Page 5 of 5 Architect/Engineer: SCTM# 1000- c~ ~ Property Address: BUILDING PERMIT EXAMINER CItECKLIST Applicant: ~/~iC~6{ ~[ {45 ~t~_.~ /~ ,.Q Subdivision: /._~zS~cO ~yA~e~ /~c~/ City: ~ ~/c~/~>c_yO4x~ Pre COs? ~;~ .... 6 ~0 Braiding Penmts (Open/Exlm-ed): B~/d :~-Z / C/0 Z-/2[~D , hffo: r~ BP~&~ ~:Z / C/0 Z-~?~hffo: ~ ~ BP~Z/C/0Z- _,Info:~o(~ ~ -Z/C/0Z- hffo: BP - -Z/C/0Z- _ ~:~[ 8ingle & Separate Search Required? Y or'termination: Lot S~ze ~ ~ [~ ~Q. ' ; ~ /ACT. LotSize:~~ REQ. LotCov.~ ACT. LotCov:~ff ~Q. Front ~ ACT. Front ~~Q Side ~ ACT. Side /~ [ ~Q. Rear PROP. Rear ~Q. Height ACT. Height / w~[er~rom~or N? ~ ~ , .~ , / ,/ If,es, walerbody:~~ ~Pancl~ /: Fh, odZone:~Bulkhead/BluffDistance:_q~ ADDITIONAL APPROVALS R~QUI~D Suffolk Counly Itealth: Y or'If yes, *Bed~: *Date: / / *PermilM: Town Septic: Y or ~ - If no, certitication required: Y or N Received: Y or N By: Soulhold ZBA:Yor~Dale: / /__ Pcrmilff: -Noles: Southohl Planniug: Y or ~ate: / / Permit #: - Notes: Town Landmark C of A: Y or N"ISTE: / / * ' ~ Nh S (?ODE Colnpliance (page 2): Y or N Fee Strncture: Foundation: ~ SF First Floor: Second Floor: _ _ SF Other: SF 2. ( Total: , '3~Y?- ;.) SF Calculation: : hxitial Fcc: + Additional Fee ( __): _SF)- SF)= SF X $__:$ fL~ov~bt~- + hfitial Fee: Additional Fee ( ): TOTAL: $ /{ NEW YORK STATE CODE COMPLIANCE CHECKLIST CLIMATIC/GEOGRAPItlC DESIGN CRITERIA: Ground Snol¥ Load: 45 Weathering: Severe ___ Design Temp: 11 __ Frosl Depth: 36" __ Ice Shield Underlay: YES __ USE/OCCUPANCY CLASSiFICATION: HEIGHT/FIRE AREA: TYPE OF CONSTRUCTION: DESIGN CRITEILIA: ENGINEERED/PRESCRIPTIVE FULI, FRAMING DESIGN ELEMENTS: Y/N IIEADEP. S: Y/IN x, VALL STUDS: Y/N CEILING JOISTS: Y/N FLOOR JOISTS: I,UMBER SPECIES AND GILADE: Y/N DESIGN [~()2x, l) CALCl ILATIONS: Y/N LI\rE: ¥/~ Dt!AD: YIN SNOW: Y/N SEISMIC: blISSIA¢ 'I'F~ST REQUIREME~qTS: EGI~ISSS 5.7 S.F.: Y/IN VENT 4%: Y/iN NAILING/CONSTRUCTION SCHEDULE: Y/N MEANS OF EGP. E~q,q: Y/N LOCATION (7)F FI3~E ['ROTECTION EQl III'MENT: CEI<~I IFICATION E~RGY CALCS: TOTAL COMPIAENCE? Y/N (1H~TUI~ TO PAGE ONE Wind Speed: 120MPH__ Seismic Design Category: B _ Termite: M~H __ Decay: S-M Flood Hazards: GII~ I)EP.S: 1).O O 1¢ RAI?TERS: VVINi): YIN JR DEPARTMENT OF HOMELAND SECURITY ELEVATION CEI CATE )MB No. 1660-0008 ,~ !xpires March 31. 2012 :ederal Emergency Management Agency !i ~,,'~ ~lational Flood Insurance Program Impodant: Read the instruc [ion.; ~ ~n pages 1-9. SECTION A- PROPER'~ INF )R;,;AT;~;~,~ euildin.~ reef's Name ~ TOWN OF SOUTHOLD 1:~5"o ~ j,.~-.,~._~ ~.~,,j City State ,POode A3. Property Descriptlo~ (Lot and Block Numbers, Tax Parcel Number, Legal Descriplion, etc.) A4. Bud ng Use (eg, Residenlial Non-Rest,den/jcL Addition, Accessory, et.c) A5 Lafllude/Longitude:LaL ~/ OI 1"'7 ,,~ Long. A6 Attach at least 2 photographs of the building if lhe Certificate is being used Io obtain flood insurance. A7. Building Diagram Number ~., AS. For a building with a crawlspace or enclosure(s): a) Square footage of crawlspace or enclosure(s) ! I ~O sq b) No. of perrnanenl flood openings in the crawlspace or enclosure(s) wilhin 1.0 foot above adjacent grade c) Tolal net area of flood openings in AS.b '~ sq in d) Engineered flood openings'? [] Yes [~No Horizontal Datum: [] NAD 1927 A9 For a building with an attached garage: a) Square foolage of at~ached garage ~"~IAD I983 "~30 sq fl b) No of permanenl flood openings In lhe attached garage within 1.0 loot above adjacent grade ,C, c) Total net area of flood openings in AD.b 0 sq in d) Engineered flood openings? [] Yes ~ SECTION B - FLOOD INSURANCE RATE MAP (FIRM) INFORMATION lB1 NFIP Community Name & Community Number B8 Flood JB4. Map/Panel Number B5 Suffix B6 FIRM Index B,~. FIRM Panel oneL~ ..{(O IO ~(vO Ib~ ~/ Dale_ Eftec~ive/Revised¢,~ ~5 , Z. c, ~,Dale f Z~ ) BI0. indicale the source of Ihe Base Flood Elevalion (BFE) dala or base flood depth entered in Ilem BD. [] FIS Profile [~ FIRM Community Delermined [] Other (Describe) Bll Indicate elevation dalum used for BFE in Item RD: [] NGVD 1929 ~ NAVD 1988 [] Other (Describe) B12. is ibe building located In a Coaslal Barder Resources System (CARS) area or Othen'v~se Pr°lacteal Area (OPA)? Designalion Date [] CaRS [] OPA B9 Rase Flood Elevation(s) (Zone AD, use base flood depth) [] Yes ~ No SECTION C - BUILDING ELEVATION INFORMATION (SURVEY REQUIRED) C1. Building elevalions are based on: Et Conslrucflon Drawings* ~ Building Under Construction* ~/Finlshed Conslruction *A new Elevation Certificate will be required when conslrucfion of Ihe building is complete C2. Elevations - Zones Al-A30, AE, AH, A (with BFE), YE, VI-V30, V (~th BFE), AR, AR/A, AR/AE, AR/A1 A30, AR/AN, AR/AD Complete Items C2a-h below according to lhe building diagram specified in Item A7. Use the same dalum as the BFE Benchmark Utilized C~75 Vergcal Datum ~,v~L~- 1~9_~ a) Top of bottoln floor (including basement, crawlspace, or enclosure floor) b) Top of the nexl higher floor c) eollom of lhe lowest horizonlal struclural member (V Zones only) d) Agached garage (top of slab) e) Lowest elevation of machinery or equipment servicing Ihe building (Describe lype of equipment and location in Commenls) 0 Lowest adjacent (finished) grade next to buflding (LAG) g) Highesl adjacent (finished) grade next to building (NAG) h) Lowesl adlacent grade at lowest elevallon of deck or stairs, including I ( ~.- L~ feet /J.~. []feet -- ~_[~ feet _OIL.__ ~' .J__~'feet 6 . W ~e~t meters (Puerto Rico only) meters (Puerlo Rico only) [] melers (Puerto Rico only) [] meters (Puerto Rico only) [] meters (Puerto Rico only) [] rnelers (Puerto Rico only) [] meters (Puerto Rico only) [] meters (Puerto Rico only) structural support SECTION D - SURVEYOR, ENGINEER, OR ARCHITECT CERTIFICATION This certification ia Io be signed and sealed by a land surveyor, engineer, or architecl authorized by law 1o certify elevation informalion. ! certify that the information on this Certificate represents my best effods to interpret the data available. I~Cerstand that any false statement may be punishable by fine or imprisonment under 18 U.S. Code, Section 1001. hack here if commenls are provided on back of form. Were lalitude and longitude in,~ctlon A provided by a licensed land surveyor? L~lYes [] No Certifier*s Name~.t./~t -- 'fl, ~.--0 ,'" ~,~t ~ /~ License Number {~) .~'~o ~' AddresSp O, Signature FEMA Form 81-31, Mar 09 Oily ~ ' ~ Statea], ~ ~}PC°de'llr~ Date jj /~/ Telephone S~e reverse side for continuation· Replaces all previous editions IMPORTANT: In these spaces, copy the corresponding information from Section A. Building Street Address (including Apt., Unit, Suite, and/or Br~g. No ) or PO Route and Box No ~ SECTION D - SURVEYOR, ENGINEER, OR AROHITEOT OERTIFIOATION (gONTINUED) Copy both sides of lhis Elevation Certificate for (1) community official, (2) insurance agent/company, and (3) building owner. Signature // ~ //O [] Check hero if attachments SECTION E - BUILDING~LEVATION INFORMATION (SURVEY NOT REQ I~D) FOR ZONE AO AND ZONE A (WITHOUT BFE) For Zones AO and A (without BFE), complete Items E1-E5. If the Cedificate is intended to suppod a LOMA or LOMR-F request, complete Sections A, B, and C For Items El-E4, use natural grade, if available. Check the measurement used. in Puedo Rico only, enter meters El. Provide elevation information for the following and check the appropriate boxes to show whether the elevation is above or below the highest adjacent grade (HAG) and the lowest adjacent grade (LAG). a) Top of bottom floor (including basement, crawlspace, or enclosure) is []feet r~meters E~aboveor []below the HAG. b) Top of bogom floor (including basement, crawlspace, or enclosure) is .-- E]feet E~meters [~aboveor E]belowtheLAG. E2 For Building Diagrams 6-9 with permanent flood openings provided in Section A Items 8 and/or 9 (see pages 8 9 of Instructions), the next higher floor (elevation C2.b in the diagrams) of the building is . [] feet E] meters [] above or E~ below the HAG. E3. Attached garage (lop of slab) is [] feet [] meters [] above or [] below the HAG. E4. Top of platform of machinery and/or equipment servicing the building is [] feet [] meters [] above or [] below the HAG. E5. Zone AO only: Ifnoflooddepthnumberisavailable, is thetopofthebottemfloorelevated in accordancewiththecommunity'sfloodplainmanagement ordinance? [] Yes [] No [] Unknown. The local official must cedify this information in Section G. SECTION F - PROPERTY OWNER (OR OWNER'S REPRESENTATIVE) CERTIFICATION The property owner or owner's authorized representative who compleles Sections A, B, and E for Zone A (wilhout a FEMA-issued or community-issued BFE) or Zone AO must sign here. The statements in Sections A, B, and E are correct to the best of my knowledge. Property Owner's or Owner's Authorized Represenlative's Name Address City State ZIP Code Signature Date Telephone Comments [] Check here if attachments SECTION G - COMMUNITY INFORMATION (OPTIONAL) The local official who is authorized by law or ordinance 1o administer the communily's floodplain management ordinance can complete Sections A, B, C (or E), and G of this Elevation Cediflcate Complete the applicable item(s) and sign below. Check the measurement used in Items G8 and G9. Gl. [] The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor, engineer, or architect who is authorized by law to cedify elevation information. (Indicate the source and date of the elevation data in the Comments area below ) G2. [] A community official completed Section E for a building located in Zone A (without a FEMA-issued or community-issued BFE) or Zone AO. G3. [] The following information (Items G4-Gg) is provided for community floodplain management purposes. G4. Permit Number I G5. Date Permit Issued I G6. Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: [] New Construction [] Substantial Improvement GS. Elevation of as-built lowest floor (including basement) of the building [] feet Gg. BFE or (in Zone AO) depth of flooding at the building site F~ feet [] feet Gl0. Community's design flood elevation · [] meters (PR) Dalum [] meters (PR) Datum [] meters (PR) Datum Local Official's Name Title Community Name Telephone Signature Date Comments [] Check here if attachments FEMA Form 81-31, Mar 09 Replaces all previous editions .To wn _of $outhold Erosion, Sed,mentation & Storm-Water Run-off ASSESSMENT FORM PROPERTY LOCATION: S.C.T,M. #: District Section Block Lot THE FOLLOWING ACTIONS MAY REQUIRE THE SUBMISSION OF ]1_ 8TORM-WATER~ GRADING~ DRAINAGE AND EROSION CONTROL PLAll C~:KIl~-te~ DY A DESIGN PROFESSIONAL IN THE BTATE OF NEW YORK,, Item Number: 2 3 4 5 6 7 8 9 (NOTE: A Check Mark (~) for each Question ia Required for a Complete Application) Will this Project Retain All Storm-Water Run-Off Generated by a Two (2") Inch Rainfall on Site? (This item will include all run-off cmatad by site cleadng aed/or construction activities as well as all Site Improvements and the permanent creation of irnpervious surfaces,) Does the Site Plan and/or Survey Show Ail Proposed Drainage Structures Indicating Size & Location? This I(em shall include all Proposed Grade Changes and Slopes Conlmlling Surfaco WaterFIowl Will this Project Require any Land Ftiling, Grading or Excavation where there is a change to the Natural Existing Grade Involving more than 200 Cubic Yardi of Material within any Parcel? Will this Application Require Land Disturbing Activities Encompassing an Area in Excess of Five Thousand (5,000) Square Feel of Ground Surface? Is there a Natural Water Course Running through the Site? ts this Project within the Trustees jurisdiction or within One Hundred (100') feet of a We and or Beach? Wtil there be Site preparation on Existing Grade Slopes which Exceed Fifteen (15) feet of Vertical Rise to One Hundred (100') of Horizontal Distance? Will Ddveways, Parking Areas or other Imporvious Surfaces be Sloped to Direct Storm-Water Run-Off into and/or in the direction of a Town right.f-way? Will this Project Require the Placement of Material; Removal of Vegetation and/or the Construction of any Item Within the Town Right-of-Way or Road Shoulder Ama? (This item will NOT include the Installation of Driveway Aprons.) Yes N._.~o Will this Project Require Site Preparation within the One Hundred (100) Year Floodplain ot any Watercourse? r~ NOTE: If Any Answer to Questions One through Nine is Answered with a Check Mark in the Box, a Storm-Water, Grading, Drainage & Erosion Control Plan is Required and Must be Submitted for Review Prior to Issuance of Any Building Permitl EXEMPTION: Ye__s N__o Does this project meet the minimum standards for classification as an Agricultural Project? Note: If You Answered Yes to this Question, a Stortn-Watar, Grading, Drainage & Erosion Cotltrol plan is NOT Requiredl Owner a~or r~prcs~n~dv~ of ~ Owner o~ Owner's, ~d is duly au~odz~d to p~r[orm or haw p~fformcd ~ s~d work ~d to m~e ~d file this application; ~at ~l s~temen~ contained in ~is application are ~e to ~e best of his ~owled~ ~d belief; ~d · at ~e work will be performed in ~e m~ner set fora in ~e application filed herewi~. Sworn to before me &is; eORM - 06/07 ~mm sslon ~p ~ July 28,20 ~ ~ TO V~l~ C LERI( OFFICF. OF THE TOWN TOWN OF SOUTHOLD THIS IS TO CERTIFY THAT THE FOLLOWING RESOLUTION WAS ADOPTED BY THE SOUTHOLD TOWN BOARD AT A REGULAR MEETING HELD ON AUGUST 2q, 1993: RESOLVED that the Town Board of the Town of Southold hereby adopts two (2} new forms to be used under t~e Flood Damage Prevent regulations of the Code of the Town of Southold: "Floodplain Developme~aJ Permit Application" [FDP(93)l, /Jnd "Certificate of' Cornpliance for' Development in Special Flood Hazard Area [C/C(93)). TOWN OF SO'di~o~ ? Judith T. Terry Southold Town Clerk August 25, 1993 TO~N OF SOUTHOLD APPLICATION PAGE I or ~ FLOODPLAIN DE'~rELOPMENT PERMFI' APPLICATiON This t~orm is to be filled out in duplicate. ~__E_CTIQN l: GENERAL PROVISIONS (APPI.[CANT Io read and_sign): I, No work may start until a permit is is.sued. 2. The permit may be revoked ff any false statements are made hereto. 3, If revoked, all work must cease until permit ix re-issued. 4. Development shall not be nsed or occuplcd until a Certificate of Comptiance is issued. 5. The permit will exph-~ if im work ix commeoced within ~ix monlhs of bsuance. 6. Applicant b hereby informed that other permits may be required to fulfill local, state amd federal regulatory requirement& ?. ^ppl~eant hereby gi~es consent to the Local Adminbtrator or his/her representative to m~e ~:easonable inspe~ons required to verify compliance. 8. I, THE APPLICA. NT, CEt/.TII~z THAT ALL STATEME. I'4TS HEREII~ AND IN AT"rACHJMENTS TO . TItlS APPLICATIOH ARF~ TO 'I"lq~ BEST OF&~Y I~'4j~WLEDGE, TRUE AND ACCURATE. SECTION 2: I'ROPOSF. D DEVELOPMEbFI' (To be completed by APPLICAB'-['t NAME ADDRF~S TELEPHONE /s'-o'.( reP~la. PROJECT To *void delay in pr'tx:easing the apptica6on, please provide, enough infocmatioa to cosily ]deutff7 thc project location Provide the street address, lot number or legal description (attach) and, outside urban areas, the distance to thc ucaresl i,ut~secting road or well known tkflcknark A sketch attached to ckls applicatiort showing thc project Ioc~adon would be helph~l FOP(93) APPLICATION PAOE ? OF ~ DESCRIPTION OF WORK (Check ~1 applJcablc boxes): A STRUCTUR.AL DEVELOPMENT ACTIVITY ,.STRUCTURE TYPE ~ ResideutiaJ (1-4 Family) [] Residential (More than 4 Family) Nomrcsidential (Floodproofmg7 U} Yes) [] Combined Use (P.~idential & Commercial) [] Manufactured (Mobile) Home (In Manu- factured Home Pa~k? O Yes) ESTIMATED COST OF PROJECT S //_.~0, ~9~. &~ OTHER DEVELOPMENT ACTIVITIES: [] F'fll El Mining ~ Drilling El Grading O Excavation (Except for S~ruaural Development Checked Above) [] Watercourse Alteration (Including Dredging and Channel Modifications) ~ Drainage Improveatents Ondudlng Culver~ Work) [] Road, Street or Bridge Construction O Subdivision (New or Expamsiou) 0 Indi¼duM Water or S~wc~ System [] Other (Ple~e Specify). Adler completing SECTION 2, A?PLIcANrl- shodd submil form to I.oc. al Administrator for re:dew. SECTION 3: FLOODPLAIN DETERMINATION {'To be com~!~ted by LOCAL ADMINISTRATOR) ']:'he proposed devclopmcn¢ is located on FIRM Panel No , Dated The Proposed Development: [] Is NOT located in a Spedal Hood Hazard ,M-ca (Notify the applicant that the application review is complete and NO FLOODPLAIN DEVELOPMENT PERNflT IS REQUIRED). C] Ix located in a Spedal Flood Hazard l'q~M Zone de.signa{ion is 100-Year flood devation at the site b: Ft. NGVD (MSL) O Uuavail able U3 The, Fropo~er~dcvdopmerU i.kyc, ntzd ig a FBFZ4 Panel No Dated SIGNED DATE APPLICATION PAGE 3 OF 4 SECTION 4: ADDITI~_HAL INFORMATION P~EOUI RED [To hc completed by bQ_(~AL ADMINISTRATOR_) Thc appLicant must submit thc documents checked below before thc apphcadon can bc processed: (~ A site plan showing thc location of MI cxiSting slrucmrcs, water bodies, adiaccm roads, dimension~ ~nd proposed development. [] Dcvclopmcm plans, drawn to scale, and spedficati,ons, including where appticablc: dot nj. Is for ~mchorlng structures, proposed elevation of lowest floor (indudlng basement), lyloes of water rcsbtam materials used below thc Fu-st floor, details of floodprooFmg o( udtities located below the Ptrst floor and dctaLls o( cndosuscs below the £trst floor. A.ba~ Subddvisioa or other development plaa~ (If thc subdivision or other development exceeds 50 lots or 5 acres, whichever is the lesser, the applicant must provide tOO-yeas flood ¢levatiohs if they *re not otherwise available). [] Plans showing the extent of watercourse relocation and/or landform alterations. Top of new ffdl elevation Ft. NO'VD (lqSL). Floodproo£mg protection level (non-residential only) Ft.' NG'VD (MSL). For floodpcoofed structures, applicant must attach ccrtilicatlo~ from registered eugi~cer or ? architect. / / CcrLificatiou from a reDbtercd engineer that the propo~dd ach,Aty in a regulatoo' Iloodway vail nat result ia ~ increase in thc height of thc loo-ycar flood. A copy of ,all data and ~xlculations supporting this ffmdbag must Mso bc submitted. SECTIO~q 5: PERMIT DETERMINATION (To be complcted bY LOCAL ADMINI~_~'RAq'QRI I have determined that the proposed acti,Aty: A. ID Is B. [] Is not in conformance with provision~ of Local Law f , 19 attached to and made part of this permit. . DATE · The permit is L~sued subject to thc condition~ flL~0X 6 is_ cb~c~kcd, thc Lxocal Admiui, tralor may bsuc a Development Pcrtni~ upon pa)~cm t~f designated ~_[3 i~ cbcc~c~, thc ~)cal Admimst~ator ~1 pro~de a ~i(teo summ~7 of dcficicncics. Applicant may and resubmit ~n application m the ~cM Administrator or may request a bearing horn Itlc Board of AppcaJs APPEAJ~: Appealed to Boa.,-d of Appeals'~ © Yes C3 No Hearing date: Appeals Board D¢cisioo --- Approved7 El Yes Coaditioms ONo APPLICATION PAGE 4 OF 4 SECTION 6: AS-BUILT ELEVATION,~ (To be subcnit~cd bvAPPLICANT before Certificate of Compliance [S issued'~ Thc' following b:d'ormacion must bc provided for proj¢c~ structures. 1~ sectioa mmst be completed bY a regSstered pro/es.sioaaJ cnginccr or a liccrmed land surveyor (or attach a certification to rids application). Complete I or 2 below. Actual (As-Built) Elevation of the top of ~he lowest floor, bduding basemcm (in Coastal Hieh Hazard Areas, bottom of lowest sO-ucS, ural member of the lowest floer, exdudlng pilbg and cohtmu~) is: ~. ~OVO L Actual (As-Built) Elevation of floodproofing protection is FF. NGVD (MSL). NOTE: Any work performed prior to submittal of thc above in£ocrnation i~ at the risk of the Applicam. / SECTION 7: COMPLIAMCE ACTION (To bc comt21ct~cd 1.w bQCAL ADMIHISTRATOR) The LOCAL &DM[HIS'TP. ATOR vd]l complete dzis scclion a5 appficabte based on imspcmion of Oac. project to ensure compliance with the commuaity's local law for flood damage prevention IF!SP~CT1ONS: DAT~ BY DiEFICIENCIF~$? {D YES [] NO DATE ~BY DEFICIENCIT~S? [] Y~,5 [] NO DATE BY I)EFICIENCIES? [] YES ~ NO SECTION ~: CERTIFICATE OF COMPLIANCEC[~ t0c cgmpl¢led_t2Z_lJOQ_AL ADMINI:~TRATOR_), CertiFicate o( Compliance issued: DATE: BY: ~ttach~ment B SAMPLE CERTIFICATE OF COMPLIAf~CE for Development in a Special Flood Hazard Area *7, TOWN OF SOUTHOLD CERTIFICATE OF COMPLIANCE FOR DEVELOPMENT IN A SPECIAL FLOOD HA/LAILD ,adLEA (OWNER MUST RETAIN THIS CERTIFICATE) PREMISES LOCATED AT: PERMIT NO. PERMIT DATE OVVNERS NAME AND ADDRESS: CHECK ONE: V1 NEW BUILDING E] EXISTING BUILDING (D VACANT LAND TStE LOCAJ~ ADMINIS'FILATOR IS TO COMPLETE A~ OR B. BELOW: COMPLIANCE IS ITERJZBY CERTIFIED WITH TIlE REQUIREME/NTS LOCAL LAW # , 19 SIGNED: DATED'. COMPLIANCE IS HEILEBY CERTIFIED WITH 'I24D~ I:(EQLrItLEMENTS LOCAL LAW # , 19__, AS MODIFIED BY VARIANCE DATED SIGNED: DATED: OF OF C/C(93) ,~,R~ DATE (M M/OO/YYYY) CERTIFICATE OF LIABILITY INSURANCE OPiD A~LPR- 1 04/27/09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ~ ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE O ' B3.~_et~ A{lency ~ Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 4 Roosevelt Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Port Jefferson Station NY 11776 Phone: 631-474-7070 Fax: 631-474-7081 INSURERS AFFORDING COVERAGE NAIC # MICHAEL HUGHES INC DBA ALL PRO SIDING & WINDOWS INSURERC: New YoLk Compensation 1504 Rte 112 INSURERD: NW Life Insurance Company 66869 Port Jefferson Station NY 11776 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE iNSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS LTR ~4ER~ TYPEOFINEURANCE POUCYNUMBER IDATE(MM/DDffYYY} DATE(MM/DDP(YYY~ LIMITS iA X COMMERCIAL GENERAL LIAEILITY 1002432 07/07/08 07/07/09 PREMISESUaMa~hlU~eNleU(Ea occurence) $ 100,000 ~ POLICY~ JECT [~ LOC AU__TOMOBILE LIABILITY COMBINED SINGLE LIMIT B ANY AUTO 6631BA6186513003 06/13/08 06/13/09 (Es aCOdent) $ 1,000,000 ~ OCCUR [] CLAIMS MADE AGGREGATE $ C ANY PROPRIETOR/PARTNER/EXECUTIV E L DISEASE- POLICY LIMIT )FFICER/MEMBER EXCLUDED? E~ 10391 04/30/09 04/30/10 E L EACH ACCIDENT $100,000 C (Mandato~lnNH) 10444 04/18/09 04/18/10 EL OlSEASE-EA EMPLOYEE $ 100,000 SPECIAL PROVISIONS below $ 500, 000 905368808309001 10/23/08 10/23/09 STATUTORY D I NYS DISABILITY D I NYS DISABILITY 905369008309001 10/23/08 10/23/09 Re: 13-50 Eugenes Road, Cutchogue, NY 11935 CERTIFICATE HOLDER CANCELLATION EHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIO~ © 1988-2009 ACORD C(~PdI~J(TION. ~rved. The ACORD name and logo are registered marks of ACORD Town of Southold 54375 Main Road ~outhold NY 11971 ACORD 25 (2009101) IMPORTANT if the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2009101) 'l'om~ ltall Annex 54375 Main Road P,O. Box 1179 Southold, NY 11971-09,5!1 Tclcpl I OI l,t~ ({~J~ 1) 76,5-1802 F&x (631) 765-9,502 BUIlI)ING I)EPAI/TMENT TOWN OF $OUTHOLD SeptemBer 24, 20'10 Thomas Puls & Donna Ricco '100 United Nations Plaza, Apt 23E/F NewYork, NY 10017 RE: 1350 Eugenes Road, Cutchogue NOTE: Before the Certificate of Occupancy can be processed your surveyor must submit a final elevation certificate. TO WHOM IT MAY CONCERN: The following items are needed to complete your Certificate of Occupancy: ~-/'~ Application of Certificate of Occupancy. (Enclosed) Electrical Underwriters Certificate. A fee of $25.00. __ Final Health Department approval. __ Plumbers Solder Certificate. (All permits involving plumbing after 4/1/84) ~ Trustees Certificate of Compliance. (Town Trustees #765-1892) __ Final Planning Board approval. __ Final Fire Inspection from Fire Marshal. __ Final Inspection from the Building Dept. __ Final Landmark Preservation approval. Building Permit: 34694-Z garage addition & alterations Building Photographs See Instructions for Item A6. Buitdiegt~Street%~) AddressL% J~¢,, ¢,¢ $(including Apt., ~.~,% ?lUnit' Suite, and/or Bldg No) or P,O. Route and Box No t P°l!~:z Number If using the Elevation Certificate to obtain NFIP flood insurance, affix at least two building photographs below according to the instructions for Item A6. Identify all photographs with: date taken; "Front View" and "Rear View"; and, if required, "Right Side View!' and ~'Left Side View," If submitting more photographs than will fit on this page, use the Continuation Page on the reverse. Building Photographs See Instructions for Item A6 Building Street Address (including Apt., Unit, Suite, and/or BIdg No) or PO Route and Box No City . /~. ~ State , , ZIP Code~ If u~ing the Elevation Oe~ifio~te ~o obtain NFIP flood in~uranoe, affix at leas~ ~wo building pbotographs below aoeording the in~true~ion~ for I~em A6 Identify all photograph~ with: date taken~ "Front View" and "Rear View": and~ if required, "Right Side V ew and Le~ S~de V e . If ~ubmitting more photograph~ th~n wilt fi~ on thi~ page, u~e tbe Oondnuation Page on [everse. Company NAIO Number JEFF A. ZAHN, A.I.~ 120' NOTE' 1. 2. ,e PREPARED IN ACCORDANCE WITH THE MINIMUM STANDARDS FOR TITLF SURVEYS AS ESTABLISHED N Y,S LIc No 50467 SURVEY OF PROPERTY SVTUA TED A T CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-97-06-1.2 SCALE 1'=20' APRIL 6, 2007 AREA 32,842.59 sq. ft. 0.754 oc. THiS PROPERTY IS IN FLOOD ELEVATIONS ARE REFERENCEB EXISTING ELEVATIONS ARE ZONE AE (EL 8). TO N.G.V.D. 1929 BATUM SHOWN THUS:so UNAUTHBRfZEB ALTERATION OR ADDITIDN TO THIS SURVEY I$ A VIOb~TION OF SEC~ON 72BE OF THE NEW YORK STAE EDUCATION COPIES OF THIS SURVEY MAp NOT BEARING THE LAND SURVEYOR'S INKED SEAL OR EMBOSSED SEAL SHALL NOT BE CONSIDERED TO BE A VALID T~UE COpy CERTIF[C^TIONS INDICATED HEF~EON SHALL RUN ONLY TO ~dE PERSON FOR WHOM THE SURVEY IS PREPARED, AND ON HIS BEHALF TO THE TrlLE COMPANy, OOVERNMENTAL AGENCY AND LENDING INSTITUTION LISTED HEREON, AND TO THE ASSIGNEES OF THE LENDING INSTI- Nathan Taft Corwin III Land Surveyor PHONE (631)727-2090 Fqx (531)727 1727 ~7-083-: EXISTING TOTAL LOT COVERAGE OVER UPLAND AREA DESCRIPTION AREA % LOT COVERAGE HOUSE W/PORCH 1,645 sq. ff. 5.5% WOOD DECK 687 sq. ff. 2,5% INGROUND POOL & HOT TBB 465 sq. ff. 1,6% STONE PATIO · WALKS 1,156 sq. f1. 5.5% CONC, PAVERS 727 sq. fi. 2.4% SHED 101 sq. ff. 0.5% TOTAL EXISTING 4,757 sq. ff. 15.9% PROPOSED TOTAL LOT COVERAGE OVER UPLAND AREA DESCRIPTION AREA % LOT COVERAGE HOUSE W/PORCH 1,645 sci, ft. 5.5% INGROUND POOL & HOT TUB 465 sq. ff. 1 STONE PATIO 357 sq. ff. 1.2% SHED 101 sq. ft. 0.5% CONC. PAVERS 16g sq. ff. 0.6% PROP. GARAGE EXTENSION 5B2 sq. fl. 1.5% PROP. DECKS 605 sq. ft. 2.0% PROP. FLOATING DECK 542 sq, fl. 1.1% PROP. POOL COPING & PATIO 557 sq, fi. 1 PROP. PAVER 491 sq. ft. 1.7% 'OTAL PROPOSED 5,090 sq. ff. 17.1% EXISTING BUILDING COVERAGE OVER UPLAND AREA DESCRIPTION AREA % LOT COVERAGE HOUSE W/PORCH 1,645 sq. fl. 5.5% ROOF OVER WOOD DECK 96 sq. ff. 0.5% INGROUND POOL & HOT TUB 465 sq. ft. 1.6% SHED 101 sq. ff. 0.5% TOTAL EXISTING 2,503 sq. ff. 7.7% PROPOSED BUILDING COVERAGE OVER UPLAND AREA DESCRIPTION AREA % LOT COVERAGE HOUSE W/PORCH 1,845 sq. ft. S.S~{ ROOF OVER WOOD DECK 96 sq. fl. 0.3% iNGROUND POOL & NOT TUB 463 sq. fl. 1.6% SHED 101 sq. ff. 0.3% PROP* GARAGE EXTENSION 552 sq. ft. 1,5% TOTAL EX~STING 2,655 sq, ff. 9.0% 2 STORY FRAME & BRICK HOUSE & GARAGE pOST _NOTE: 1. / / / N.Y.S. Lic. No, 50467 SURVEY OF PROPERTY $ITUATE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-97-06-1.2 SCALE 1 "=-20' APRIL 6, 2007 JANUARY 9, 2009 ADDED PROPOSED ADDITIONS FEBRUARY 8, 2009 ADDED LOT COVERAGE TOTAL AREA = 52,846 sq. 0.754 ac. UPLAND AREA = 29,861 sq. ff. THIS PROPERTY IS IN FLOOD ZONE AE (EL 8). ELEVATIONS ARE REFERENCED TO N.G.V.D, 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS:aG 21' THE EX~STE.CE oF ~~ND/OR ~SEMENTS OF RECORD, IF ~ANY, NOT SHOWN ARE NOT GUARANTEED. Nathan Taft Corw n III Land Surveyor PHONE (6511727-2090 Fax (6511727 1727 27-083~ / / / / / / / / / / / 2 STORY FRAME & BRICK HOUSE & GARAGE / / I i I i I / / / / / ~1 i I ~/ I / / I ~,1 / / / / / / / / NOTE: ?:,,., / / / / / / AND/OR EASEMENTS OF RECORD, IF SURVEY OF PROPERTY SITUATE CUTCHOGUE TOWN OF SOUTHOLD SUFFOLK COUNTY, NEW YORK S.C. TAX No. 1000-97-06-1.2 SCALE 1"=20' APRIL 6, 2007 JANUARY 9, 2009 ADDED PROPOSED ADDITIONS FEBRUARY 8, 2009 ADDED LOT COVERAOE FEBRUARY 26, 2009 SET LATH FOR SITE INSPECTION SEPTEMBER 10, 2009 AS BUILT SURVEY OCTOBER 20, 2010 FINAL SURVEY TOTAL AREA 32,846 sq. ff. 0.754 ac. UPLAND AREA = 29,861 sq. ff. 1. ELEVATIONS ARE REFERENCED TO N.G.V.D. 1929 DATUM EXISTING ELEVATIONS ARE SHOWN THUS: PREPARED IN ACCORDANCE MINIMUM STANDARDS FOR IT~-E SI N.Y.S. lic, No. 50467 Nathan Taft Corwln III Land Surveyor Successor To. Stanley d. Isoksen, Jr, L,S, Joseph A. Ingegno L.S, PHONE (651)727-2090 Fox (631)727-1727 ~7-0831 NOTES Puls-Ricco Residence DRAWING LIST A-000 COVER SHEET A-100 DEMOLITION PLANS A-101 SITE PLAN & ZONING NOTES A-102 1ST FLOOR CONSTRUCTION PLAN A-103 2ND FLOOR CONSTRUCTION PLAN A-200 EXTERIOR ELEVATION A-201 EXTERIOR ELEVATION A-202 EXTERIOR ELEVATION A-301 SECTION SYMBOL LEGEND .ELEVATION KEY Detail Number Sheet Number SECTION/DETAIL KEY Detail Number Sheet Number DETAIL ENLARGEMENT -~ Detail Number Sheet Number COMPLY WITH ALL CODES OF NEW YORK STATE & TOWN CODES AS REQUIRED AND CONDITIONS OF S01~HOLO TOWN ZBA ,....~..._ .'"'~J0~HOL D TOW~ PI. ANNING BOARD ~ ~0UTHOD TOWN TRUSTEES K¥.S. DEC ParUtion Type DOOPJWINDOW KEY DoorRNindow Number Room Number F~NISHES -- Finish Type REVISION KEY Revision Number I FX- I Fixture Key COMPLY WITH CHAP : F, 'r46" FLOOD DAMAGE PRE I !TION SOUTHOLD TOWN CC ' . ALL CON.;T~I rF'Th~ r MEET THE REO[ ,,,C ~,,,, CODEs OF BS~ G' YL;~,~ , I, II, AiL ~ c L;., :'3TIONS :REQUIRED. Smoke Carbon Monoxide detector Rain Leader Number USE IS Ut'')i kWFUL WITHOU !' CERTIFICF'?! OF OCCUPANCY ASa, lC'TED _ 2, ROUGH - FRAMING & PLUMBING 31 INSULATION 4, FINAL - CONSTRUCTION MUST REQUIREMENTS OF THE CODES OF NEW YORK STATE. NOT RESPONSIBLE FOR DESIGN OR CONSTRUCTION ERRORS. RETAIN STORM W~TER RUNOFF PURSUANT TO CHAPTER 236 OF THE TOWN CODE. MATERIAL KEY SUPER WHITE, EGG SHELL FINISH SY BENJAMIN MOORE WHITE FLAT FINISH BY BENJAMIN MOORE ] WHITE, SATIN FINISH BY BENJAMIN MOORE ] TBD, EGGSHELL FINISH BY BENJAMIN MOORE ] RIFT CUT OAKVENEER EBONY STAINED 2 CLEAR FINISH COATS ] ANTIQUE BARN WOOD FLOORING BY ELMWOOD RECLAIMED TIMBER BARN WOOD SIDING-WHITE CONTACT: Brent Kroch 816-532-0300 ] EBONY STAINED WOOD 2 CLEAR FINISH COATS 1 "X6" WESTERN RED CEDAR SIDING (TO MATCH XTG) FINISE SOLID COLOR PAINT BY PPG COLOR: CAPE COD GRAY EXISTING SIDING (REPAIR AS REQUIRED) FINISH SOLID COLOR PAINT BY PPG COLOR: CAPE COD GRAY CAESJ~RSTONE ¢'f2141 4 THIC,× ] 2'X3'Xl" MOUNTAUK SLUE SLATE BY HOR(ZON NATU P, AL STONE CONTACT, CRISTINA SILMARA 860-528-4655 WHITE CARRARA MARBLE ~;" THICK, FINISH: HONED DALTILS CERAMIC TILE MODEL: MODERN DIMENSIONS SIZE: I ~"X S ~" COLOR: MA~ ARTIC WRITE (07§O) DALTILE CERAMIC TILE MODEL' MODERN DIMENSIONS SIZE: 1{" x 3 ~" COLOR: MATrE DESERT GREY 0(714) FI DALTILE CERAMIC TILE MODEL MODERN DIMENSIONS SIZE: 2 ~'x B ~' COLOR: MATIE ARTIC WHITE (0790) ~] BALTIL E CERAMIC TILE MODEL: MODERN DIMENSIONS SZE. St"x St" COLOR: MATTE URBAN PUI%Y (0761) DALTILE CERAMIC TILE MODEL. MODERN DIMENSIONS SIZE: ",~'x s~~ OOLOR. MATE ClTYLINE KOHL (0771) 1/4" CLEAR MIRROR ~" CLEAR TEMPERED GLASS 2 25"× 75" TONGUE AND GROOVE NEW RED OAK FLOOR BOARDS EBONY STAIN W/2 CLEAR FINISH COATS XIG GAK FLOORING TO GET EBONY STAIN W/2 CLEAR FINISH COATS ¢' THICK STEEL WITH STEEL BLACKENER BY JAX AND 2 CLEAR FINISH COATS CLEAR ANODIZED ALUMINUM METAL COMPOSITE PANEL BY ALCOTEX W/TH SELAED JOINTS COLOR SILVER Jan. 20, 2009 Permit issue Puls-Ricco Residence 1350 Eugene's Road Cutohogue, NY 11935 rb I architect 445 west lgth street 6F New York, NY 10011 tlf 212 6915922 DATE SCALE NOV 4, 2008 COVER SHEET DWG. No. A-000 NOTES EUGENE'S ROAD LEGEND: garage extension existing house ZONING ANALYSIS REQUIREMENT EXISTING PROPOSED LOT COVERAGE N/A TBD TBD LOT SIZE I Acre .806 Acre (35,120 SF) No Change MAXIMUM BUILDING HEIGHT ~5' 29' No Change NUMBER OF STORIES 2,5 2 2 MAXIMUM LOT COVERAGE 20% TeD TeD MINIMUM FRONTYARD SETBACK 40' 61 3 47.1 MINIMUM SIDE YARD SETBACK 15' 24.7' 18.7' MINIMUM BOTH SIDE YARDS SETBACK 35' 24.7~+64.3'=89.0' 19.8+64.3=34.1" MINIMUM REAR YEAR SETBACK 50' 79.5' No Change MINIMUM WETLANDS SETBACK 100' 71.4' (Non-Conforming) No Change 1. FOR SITE WORK SEE LANDSCAPE DRAWINGS Jan. 20, 2009 Permit issue Puls-Ricco Residence 1350 Eugene's Road Cutchogue, NY 11935 rb I architect 445 west t9th street 6F New York, NY 10011 tlf 212 6915922 DATE SCALE NOV 4, 2008 1/16"=1'-0" SiTE PLAN & ZONING NOTES OWG, NO A-lO0 FIRST FLOOR SCALE 1/8"= 1'-0" DEMOLITION NOTES: ALL WORK TO CONFORM TO THE NEW YORK STATE BUILDING CODE AND THE TOWN OF SOUTHHOLD STANDARDS AND REQUIREMENTS 1. WORK INCLUDED ALTERATIONS AND REMOVALS REQUIRED FOR THIS WORK INCLUDE, BUT ARE NOT NECESSARILY LIMITED TO: THE WORK AS INDICATED ON PLAN. COORDINATE WITH NEON WORK 2. STANDARDS A. IN ADDITION TO COMPLYING WITH ALL PEffrlNENT CODES AND BUILDING REGULATIONS, COMPLY WITH THE REQUIREMENTS OF ALL INSURANCE CARRIERS PROVIDING COVERAGE FOR THIS WORK B. OBTAIN ALL NECESSARY PERMITS 3. EXECUTION A. SITE CONDITIONS 1. PRIOR TO ALL WORK OF THIS SECTION, CAREFULLY INSPECT THE EXISTING CONDITIONS AND VERIFY THAT MATERIALS AND SURFACES TO BE ALTERED OR REMOVED ARE THE SAME AS NOTED ON THE DRAWINGS 2, THE OWNER ASSUMES NO RESPONSIBILI'~f FOR THE ACTUAL CONDITION OF STRUCTURES TO BE REMOVED B. SUPERINTENDENT 1. THE CONTRACTOR SHALL EMPLOY A COMPETENT SUPERINTENDENT WHO SHALL BE IN ATTENDANCE AT PROJECT SITE DURING THE PROGRESS OS THE WORK. C. DISCREPANCIES 1. IN THE EVENT OF DISCREPANCY, IMMEDIATELY NOTIFY THE ARCHITECT. 2. DO NOT PROCEED WITH REMOVALS IN AREAS OF DISCREPANCY UNTIL ALL SUCH DISCREPANCIES HAVE BEEN FULLY RESOLVED. 4. WORKMANSHIP A. GENERAL I. ENSURE THE SAFE PASSAGE OF PERSONS AROUND THE AREA OF REMOVALS 5, PROCEDURE OF WORK A. ALL WORK SHALL BE PERFORMED IN STRICT ACCORDANCE WITH SCHEDULE PROVIDED BY THE CONTRACTOR AND APPROVED BY THE OWNER. 6. UTILITIES A, MAINTAIN EXISTING UTILITIES, KEEP IN SERVICE AND PROTECT AGAINST DAMAGE DURING OPERATION. SECOND FLOOR SCALE 1/8'~ = 1 '-0" 7, REMOVALS ALL OTHER REMOVED MATERIALS SHALL BECOME THE PROPERTY OF THE CONTRACTOR, WHO SHALL PROMPTLY TRANSPORT THE MATERIALS THEREFROM. 8. CLEANING UP A. AT THE COMPLETION OF EACH DAY'S WORK, CLEAN SURROUNDING AREAS AND FLOOR OR JOB SITE OFALL DEBRIS, DIET, ETC, B. POLLUTION PROTECTION 1. DO NOT BURN MATERIALS OR DEBRIS ON PREMISES 2. USE WATER SPRINKLER, TEMPORARY ENCLOSURES, AND OTHER SUITABLE METHODS TO LIMIT AMOUNT OF DUST AND DIRT RISING AND SCATr ERING IN THE AIR TO THE LOWEST PRACTICAL LEVEL. 3. DO NOT USE WATER WHEN IT MAY CREATE HAZ.~RDOUS OR OBJECTIONABLE CONDITIONS SUCH AS FLOODING OR DAMAGE. 4, DO NOT DROP OR THROW MATERIALS FROM ANY HEIGHT. 5. REMOVE FROM THE SITE ALL RUBBISH AND DEBRIS RESULTING FROM WORK OF DEMOUTION. 6. CLEAN ADJACENT STRUCTURES AND SPACES OF DUST, DIRT AND DEBRIS CAUSED BY REMOVALS OPERATIONS, AS DIRECTED eY THE ARCHITECT OR GOVERNING AUTHORITIES. C. GENERAL PROTEC11ON 1. CONTRACTOR SHALL BE RESPONSIBLE FOR THE PROTECTION OF THE EXISTING BUILDING, FACILITIES AND IMPROVEMENTS WITHIN THE AREAS WHERE HIS WORK IS BEING DONE. ANY DISTURBANCE OR DAMAGE TO THE WORK, THE EXISTING BUILDING, AND IMPROVEMENT OR ANY IMPAIRMENTS OF FACILITIES RESULTING FROM WORK OF THIS SECTION, SHALL BE PROMPTLY RESTORED, REPAIRED OR REPLACED AT NO EXTRA COST TO THE OWNER, 2. IN THE AREAS OF THE BUILDING WHERE WORK OF THIS SECTION IS REQUIRED, PROVIDE ALL NECESSARY TEMPORARY ENCLOSURES, GUARD RAILS, BARRICADES, ETC. TO ADEQUATELY PROTECT ALL WORKMAN FROM POSSIBLE INJURY, PROVIDE ALL NECESSARY CONSTRUCTION FOR THE EXCLUSION OF WEATHER AND FOR CONFINING DUST AND DEBRIS. D. CONDUCT OF OPERATIONS 1. EXISTING STRUCTURES SHALL NOT BE USED AS WORK SHOP. SHOULD ANY DAMAGE OCCUR DURING THE PROGRESS OF THE WORK TO ANY ITEMS AS EXISTING TO REMAIN, THEREIN, SUCH DAMAGE SHALL eE REPAIRED OR MADE GOOD WITHOUT EXTRA COST TO THE OWNER. DEMOLITION NOTES: [] REMOVE FLOORING (TILE AND STONE) ] REMOVE PARTITION AS INDICATED [] REMOVE WINDOW ] REMOVE DOORAND FRAME ] REMOVE XTG W.C. ] REMOVE RAILING ] REMOVE FAUCET/SHOWER CONTROLS &ACCESSORIES ] REMOVE CABINETRY ] REMOVEAPPLIANCESAND PLUMBING FIXTURES ] REMOVE XTG TUB AND C.TILES ] REMOVE XTG CLG LIGHTING TRACK/LIGHT FIXTURE. ] REMOVEXTG SCONCE ] REMOVE GARAGE ROOF/JOISTAS REQ~D COORDINATE WITH STRUCTURAL DRAWINGS ] XTG ELECTRICAL PANEL TO REMAIN ] REMOVE FINISHED STONE ] REMOVE XTG FIRE PLACE BOX; COORDINATE W/NEW FIREPLACE POSSIBLE REPLACEMENT OF FLUS REQUIRED; CONTRACTOR TO ADVICE ARCHITECT. LEGEND: EXISTING PARTITION N NOTES Jan. 20, 2009 Permit issue Puls-Ricco Residence 1350 Eugene's Road Cutchogue, NY 11935 rb I architect 445 west 19th street 6F New York, NY 10011 tlr 212 6915922 DATE SCALE NOV 4, 2006 1/8"= 1'-0" DEMOLITION PLANS DWG. NO. A-101 31' 11" GARAGE EXTENSION 17'-2" NOTES COORDINATE WiTH STRUCTURAL DRAWINGS FOR GARAGE EXTENSION DINING ROOM I LIVING ROOM PLAN SCALE 1/4"= 1 '-0" UP LEGEND: ~ existing partition new partition/wall PARTITION TYPES GARAGE FLOOR <~2x4 Wood Stud 16" o.c. w/~" Gyp. Sd. Both Sides ~2x4 Wood Stud 16" o.c. w/~" Gyp. Bd. One Side ~;> 2x4 Wood Stud 16" o.c. w/,~' Cementitious Tile Backer Board both sides Exst. Slab to Remain New Slab CONSTRUCTION NOTES: NEW 21/4"x3/4" OAK T&G FLOOR BOARDS WITH EBONY STAIN XTG OAK FLOOR TO GET EBONY STAIN NEW PTD WOOD DOOR/FRAME & SHELVING XTG RAILING TO GET EBONY STAIN XTG DOOR AND FRAME TO BE PTD XTG WINDOW WOOD TRIM TO BE PTD XTG STAIR TREADS & LANDING TO GET EBONY STAIN XTG WOOD BASE TO BE PTD {TYP) NEW KITCHEN & APPLIANCES BY OTHERS, G.C. TO PREP SPACE AND DO HOOK-UPS FOR PLUMBING {SINK, FAUCETS, REFRIGERATOR) AND ELECTRIC RANGE AND VENTILATOR. COORDINATE W/KITCHEN VENDOR REPLACE SLIDING DOOR AND SCREEN TO MATCH XTG XTG FIRE PLACE ENCLOSURE TO GET PTD GWB OVER WOOD PANELING NEW FIREPLACE BOX TO REPLACE XTG. CONTRACTOR TO VERIFY THAT THE XTG CHIMNEY SYSTEM IS FTF10 OR TF10 TO WORK WITH NEW FIREPLACE AN D ADVICE ARCHITECT NEW STL HEARTH EXTENSION NEW SLIDING DOOR XTG STAIR/PLATFORM TO GET NEW STONE FINISH NEW STEPS WITH STONE FINISH NEW GARAGE DOORS NEW SLAB ON GRADE NEW WINDOW REPLACE SCREEN AND WEATHER STRIP TO MATCH XTG REPAIR DOOR AND WOOD SIDE LIGHTS AS REQ'D Jan 20, 2009 Permit issue Puls-Ricco Residence 1350 Eugene's Road Cutchogue, NY 11935 rb I architect 445 west 19[h street 6F New York, NY 10011 tlf 212 6915922 NoV 4, 2008 1/4"= 1'-0" FIRST FLOOR PLAN A-102 NOTES open -- ( 18 equal ) 17'-3" OPENING 5'-1C cpen-- NEW ROOF open FLOOR PLAN SCALE 1/4"= 1 '-0" LEGEND: ~ existing partition new partition PARTITION TYPES ~2x4 Wood Stud 16" o.c. w/~' Gyp. BCi. Both Sides (~2x4 Weed Stud 16" o.c, w/~' Gyp. Bd. One Side (~2x4 Wood Stud 16" w/~' Cemen~titious Tile eacker Board Both Sides CONSTRUCTION NOTES: ] NEW GLASS RAILING W/CONCEALED S HOE E~ XTG OAK FLOOR TO GET EBONY STAIN ] FIRE PLACE ENCLOSURE TO GET PTD SWB OVER WOOD PANELING r-~ XTG RAILING TO GET EBONY STAIN ] XTG DOOR AND FRAME TO BE PTD [] XTG WINDOW WOOD TRIM TO BE PTD ]XTG STAIR TREATS & LANDING TO GET EBONY STAIN ]XTG WOOD eASE TO BE PTD ] XTG WOOD CLG, TRIM AND BEAMS TO BE ETD ] NEW CLOSET DOOR AND FRAMES TO MATCH XTG & SHELVING [] XTG FLOOR VENT TO REMAIN ('rYp) ] NEW OAK VENEER SHELVING ] NEW TUB AND CERAMIC TILE (WALLS/FLOOR) [] NEW CABINET DOOR & DRAWER FACES TO REPLACE XTG ] NEW PLY~NOOD STG PLATFORM ] NEW CUSTOM LEAD COVER COOPER GUTrER ] NEW SHINGLES ROOFING TO MATCH XTG ] NEW POCKECT SLIDING DOOR ] NEW PTD WOOD 2XI0 TRELES Jan. 20, 2009 Permit issue No, Date Description ISSued to Puls-Ricco Residence 1350 Eugene's Road Cutchegue, NY 11935 rb I architect 445 west 19th street 6F New York, NY 10011 tlr 212 6915922 Nov 4, 2008 1/4-"= 1'-0" SECOND FLOOR PLAN A-103 NOTES GARAGE EXTENSION SECOND FLOOR + 8'- 11~ FIRST FLOOR +/- 0'-0" CONSTRUCTION NOTES: ] XTG SIDING TO BE PTD [] XTG BRICK TO BE PTD ] NEW PTD WOOD SIDING TO MATCH XTG ] ANODIZED ALUMINUM ] NEW GLASS AND ALUMINUM GARAGE DOOR BY CLOPAY AVANTE COLLECTION MODEL AVl WITH CLEAR ANODIZED ALUMINUM FRAME AND FROSTED TEMPERED GLASS PANELS ] XTG STAIR/PLATFORM TO GET NEW SI-ATE STONE FINISH ] NEW STEP W/SLATE STONE FINISH ] NEW METAL COMPOSITE PANEL BY ALOOTEX Jan. 20, 2009 Permit issue Puls-Ricco Residence 1350 Eugene's Road Outchogue, NY 11935 rb I architect 445 west 19th street 6F New York, NY 10011 tlr 212 6915922 DATE SCALE NOV 4, 2008 1/4"=1'-0" EXTERIOR ELEVATION DWG No A-200 NOTES SECOND FLOOR 111 + 8'-11~ ,'[ FIRST FLOOR +/- 0'-0" GARAGE - 1 '-5" NORTH ELEVATION SCALE 1/4"=1'-0" CONSTRUCTION NOTES: J~XTG SIDING TO BE PTD r~XTG BRICK TO BE PTD ] NEW PTD WOOD SIDING TO MATCHXTG ] NEWGL4SSANDALUMINUM GARAGEDOOR BY CLOPAY PORTFOLIO LINE, WHITE PRAME, FROSTED GLASS PANEL ] XTG STAIR/PLATFORM TO GET NE~V STONE FINISH ] NEW STEP W/STONE RNISH ] NEW WINDOW WiTH ANODIZED ALUMINUM FRAME Jan, 20, 2009 Permit issue Puls-Ricco Residence 1350 Eugene's Road Cutchogue, NY 11935 rb I architect 445 west 19th street 6F New York, NY 10011 tlr 212 6915922 DATE SCALE NOV 4, 2008 1/4"=1'-0" EXTERIOR ELEVATION DWG. No A-201 NOTES GARAGE EXTENSION CONSTRUCTION NOTES: E~XTG RIDING TO BE PTD [] XTG RRICKTO BE PTD ] NEW PTD WOOD SIDING TO MATCH XTG ] NEW PTD WOOD PANEL ] NEW GLASS AND ALUMINUM GARAGE DOOR BY CLOPAY PORTFOLIO LINE, WHITE FRAME, FROSTED GLASS PANEL ] XTG STAIR/PLATFORM TO GET NEW STONE FINISH ] NEW STEP W/STONE FINISH ] XTG SOLAR PANEL CONVERTER BOX TO REMAIN ] NEW WINDOW [~XTG WINDOW/DOOR ] NEW PTD WOOD TRELLIS WEST ELEVATION SCALE 1/4"= 1 '-0" WINDOW SCHEDULE GENERAL NOTES: SPECIFICATIONS FOR DESIGN DIRECTION, TO BE COORDINATED BY GC AND WINDOW SUPPLIER, ALTERNATES TO BE EQUAL IN FUNCTION AND TYPE, SUBMIT TO ARCHITECT FOR APPROVAL, TAG I LOCATION I DIMENSIONS I GLAZED AREA (SF) I DESCRIPTION I FINISH I REMARKS I HARDWARE I MANUFACTUREER WD-1 KITCHEN UNIT 8'-5'X3'-413/16" GL~88 AREA 18 COMPOSITE UNIT WHITE 1,2 1 ANDERSEN WINDOWS ROUGH OPENING 8'-5 1/2"X3'-5 3/8" VENT AREA 22 CASEMENT~FIXEO W8-2 GARAGE UNIT 16~2'-1" 6LASS AREA32 FIXEB WHITE 1 ANDERSEN WIND0WS ROUGH OPENING 16'-1/2'~'-1 5/8" Jan. 20, 2009 Permit issue NO Date Oescdptlen 18sued to Puls-Ricco Residence 1350 Eugene's Road Cutchogue, NY 11935 rb I architect 445 west 19th street 6F New York, NY 10011 tlf 212 6915922 NOV 4, 20081/4"=1'-¢ EXTERIOR ELEVATION A-202 NOTES SECO~DFLOOR $ +8'-t~' GARAGE EXTENSION 8" R21 Bart Insulation 8'' R25 Bat[ Insulation FIRST FLOOR open BAS,EMENT [BASEMEN~ SECTION SCALE 1/4"= CONSTRUCTION NOTES: ] NEW RECLAIMED BARN SIDING SLIDING DOOR ] NEW GWB ENCLOSURE ] NEW GLASS RAILING W/CONCELAED SHOE [] XTG RAILING TO GET STAINED ] NEW WALL MOUNTED LIGHT FIXTURE ] NEWSTAINED RIFCUTOAKCANTILEEVEREDSHELVING ] NEW FIRE pLACE BOX TO REPLACE XTG ] PTDGWBOVERXTGWOOD PANELING ] NEWSTG pLATFORM [] NEW ROOF/GARAG E EXTENSION Jan. 20, 2009 Permit issue Puls-Ricco Residence 1350 Eugene's Road Cutchogue, NY 11935 rb I architect 445 west 19th street 6F New York, NY 10011 tlr 212 6915922 DATE SCALE NOV 4, 2008 1/4"=1'-0" SECTIONS DWG, No, A-301 NEW 6X6 3-2X12 LINTEL POST 6X6 TIMB£R POST __J ~¢X2'-B" HiLTIHIT HY150 ~ ADHESIVE DOWELS AT 16" C/C EMBEDMENT 8" 1 // WALL 10" FOUNDATION ~ I ~' -- NEW 10" FOUNDATION Il " WALL EXIST. FOUNDATION WAL ~1 {II 1 efX2'-8" HILTIHIT H"~ ~HESIVE DOWELS AT 16" C/CI 1 W~L EMBEDMENT 8" CONCRETE ALL CONCRbP- WORK SHALL CONPORM TO APPLICABLE REQUIREMENTS OF ACI STANDARD ,301 TITLED "SPECIFICATION FOR STRUCTURAL CONCREf~- FOR BUILDING." ALL WORK SHALL CONPORM TO ACI 318-1989 "BUILDING CODE REQUIREMENTS FOR REINFORCED CONCRETE" AND THE NYS BUILDING CODE, AND NORTH CASTLE CODE LATEST EDITtONS. ALL CONCRETE SHALL HAVE A COMPRESSIVE STRENGTH OF f'c--3.500 PSi AT 28 DAYS MIN. CEMENT FACTOR 6 BAGS PER CUBIC YARD SLUMP CEMENT SHALL BE PORTLAND CEMENT, TYPE I , OF APPROVED MANUFACTURER, FRESH STOCK, MEETING REQUIREMENTS OF ASTM C-150. 11. 12. CONTRACTOR SHALL SUBMIT CONCRETE MIX TO ARCHITECT/ENGINEER FOR APPROVAL BEFORE ORDERING CONCRETE TO THE JOBSITE. REINFORCING STEEL SHALL CONFORM TO ASTM A615, GRADE 60. MESH REINFORCING SHALL BE ELECTRIC WELDED GALVANIZED WIRE FABRIC WITH AN ULTIMATE YIELD POINT OF AT LEAST 72,000 PSt AND SHALL CONFORM TO ASTM DESIGNATION A185, AS AMENDED TO DATE IN ITS ENTIRETY. PROTECTION OF REINFORCEMRNT AS PER ACI 318 LATEST ISSUE PROVIDE BOLSTER CHAIRS FOR THE REINFORCEMENT AND WIRE MESH PER ACI RECOMMENDATION. CONCRETE SHALL BE MONOUTHICALLY FINISHED. SCREED ENTIRE SURFACE OF CONCRETE SLAB AT PROPER LEVEL. REMOVE SURFACE WATER LAITANCE AND DIRT. FLOAT AND THOROUGHLY STEEL TROWEL TO A DENSE SMOOTH UNBLEMISHED SURFACE. CONTRACTOR SHALL SUBMit REBARS SHOP DRAWINGS TO ARCHITECT/ ENGINEER FOR APPROVAL BEFORE CUTFING OR BENDING ANY REBARS FIRST FLOOR PLAN/PART FOUNDATION PLAN SCALE 1/4"=1'-0" UP STUDS AT 16" C/C (SEE ARCHITECTURAL DRAWINGS) 56-W2,0XW2,0 SLAB PLATE ~" DIA. ANCHOR BOLTS AT 3'-0" C/C HORIZONTAL BARS 1'-,3" MIN. TYPICAL PLAN DETAIL © CORNER WALLS GRANU,LAR FILL COMPACTED TO 957. OF ITS DRY DENSITY BOTTOM OF NEW FOOTING TO MATCH BOTTOM OF EXISTING ADJACENT FOOTING BARS AT 16" C/C BARS AT 16" C/C 10" FOUNDATION WALL BARS 2'-0" STURB MINIMUM 2 TONS '"'4- BARS AT 16" C/C SECTION 1-1 SCALE:?' SOIL WITH BEARING OF PER SQUARE FOOT Puls-Ricco Residence 1350 Eugene's Road Cutchogue, NY 11935 FIRST FLOOR PLAN/PART FOUNDATION PLAN AND SECTION CHEN ENGINEERING SERVICES, P.C. 28 DEEPDALE DRIVE GREAT NECK, NY 11021 TEL: (516) 829 4463 FAX: (516) 829 2573 K.C. AS SHOWN H.C. 10/24/08 S-1 TIMBER POST 4X4- TIMBER POST. HORIZONTAL JOIST 4, F'ROVIDE BLO(.KINSCRID~IN~ AT 4'-0" G/C, ~ .tOIOT/~Ap ~ ~.. PROVIgE ADDITIONAL FRAHIN~, AROtJN. P Oi:~IN~,A5 5HORN tN THE C;ONTRAGT DOGUI~"P3 It~EN ~ RIg'TN OF OPENIN~ EKGEFD5 TH~ T'ff'IGAL JOIST/RAP i~ 5PAC, I~5. DURIt~ GONSTRL~TION, T~ JOIST/P, AP H:R 5¥ST~H 5FIALL NOT t~ LOADED t~-h'OND TH~ LIMIT5 FOR V~HIGH tT RA5 DY::5tSNED. P~VIDE ~;~A)BLE 5"1lD5 AT ALL OPENINg5. 8. PSL 5HA4-L HAVE A NflNII~IUH BENOIN~ STRE¢-..~5 Ot= 2~fOO F=~I AND A P41NINIUNf i"fOOULU5 Of= ELASTIC-.IT'r' OP 2~0,000 PSi -- open.-- NEW POST. 2X'12 LINTEL TIMBER POST. NEW 2-2X12 2-4X~ qMBER POST TIMBER POST. TIMBER POST, SHORING AND PROTECTION OF EXISTING STRUCTURE THE CONTRACTOR SHALL PROVIDE ALL NECESSARY SUPPORT; BRACING SHORING NEEDLING ETC, OF BOTH EXISTING AND NEW CONSTRUCTION AS REQUIRED FOR THE SAFE INSTALLATION OF NEW CONSTRUCTION AND THE COMPLETE PROTECTION OF PUBLIC, WORKMEN AND PROPERTY. TOTAL RESPONSIBILITY IN THIS REGARD SHALL REST WITH THE CONTRACTOR. THE FOLLOWING QUALIFYING THE SHORING CONTRACTOR MUST SUBMIT DOCUMENTATION: EVIDENCE INDICATING EXPERIENCE AS A SHORING CONTRACTOR FOR AT LEAST TEN (10)YEARS. B) EVIDENCE OF PERFORMING SHORING WORK OF COMPARABLE DIFFICULTY AND MAGNITUDE, ON PROJECTS SIMILAR TO THE PROJECT. C) A LIST OF CLIENTS AND/OR OWNERS OF SIMILAR PAST PROJECTS. -- EXIST. RAFTER -- NEW 2X12 RAFTER BLOCKING tEW BLOCKING SECOND FLOOR PLAN/ROOF FRAMIklG OVER GARAGE SCALE 1/4"= 1'.-0" SHORE EXIST, RAFTERS AS REQUIRED, CUT AND RECONNECT DIA. BOLTS STAGGERED NEW 3X12 EW · NEW 5Xt2 7X18 PSL SECTION A-A SCALE: 1"=1'-0" AT 16" C/C PulS-Ricco Residence- 1350 Eugene's Road Cutchogue, NY 11935 TITLE PART SECOND FLOOR PLAN/ ROOF FRAMING PLAN CHEN ENGINEERING SERVICES, P.C. 28 DEEPDALE DRIVE GREAT NECK, NY 11021 TEL: (516) 829 446,3 FAX: (516) 829 257,.3 AS SHOWN DAIE 10/24/08 DRAWn $-2